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HCPCS Procedure & Supply Codes →
Temporary Codes →
section notes
Skin Substitutes →
section notes
Q4101   Apligraf, per square centimeter (add-on, list separately in addition to primary ...
Q4102‑Q4124   Oasis
Q4104‑Q4114   Integra
Q4107‑Q4113   Graftjacket
Q4110   Primatrix, per square centimeter (add-on, list separately in addition to primary...
Q4111   Gammagraft, per square centimeter (add-on, list separately in addition to primar...
Q4112   Cymetra, injectable, 1 cc
Q4115‑Q4141   Alloskin
Q4116   Alloderm, per square centimeter (add-on, list separately in addition to primary ...
Q4117   Hyalomatrix, per square centimeter (add-on, list separately in addition to prima...
Q4118   Matristem micromatrix, 1 mg
Q4121   Theraskin, per square centimeter (add-on, list separately in addition to primary...
Q4122   Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on,...
Q4125   Arthroflex, per square centimeter (add-on, list separately in addition to primar...
Q4126   Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, lis...
Q4127   Talymed, per square centimeter (add-on, list separately in addition to primary p...
Q4128   Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addi...
Q4130   Strattice tm, per square centimeter (add-on, list separately in addition to prim...
Q4132‑Q4392   Grafix
Q4134   Hmatrix, per square centimeter (add-on, list separately in addition to primary p...
Q4135   Mediskin, per square centimeter (add-on, list separately in addition to primary ...
Q4136   Ez-derm, per square centimeter (add-on, list separately in addition to primary p...
Q4137   Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list se...
Q4138‑Q4140   Biodfence
Q4139‑Q4411   Amniomatrix
Q4142   Xcm biologic tissue matrix, per square centimeter (add-on, list separately in ad...
Q4143   Repriza, per square centimeter (add-on, list separately in addition to primary p...
Q4145   Epifix, injectable, 1 mg
Q4146   Tensix, per square centimeter (add-on, list separately in addition to primary pr...
Q4147   Architect, architect px, or architect fx, extracellular matrix, per square centi...
Q4148   Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, li...
Q4149   Excellagen, 0.1 cc
Q4150   Allowrap ds or dry, per square centimeter (add-on, list separately in addition t...
Q4151   Amnioband or guardian, per square centimeter (add-on, list separately in additio...
Q4152   Dermapure, per square centimeter (add-on, list separately in addition to primary...
Q4153   Dermavest and plurivest, per square centimeter (add-on, list separately in addit...
Q4154‑Q4283   Biovance
Q4155   Neoxflo or clarixflo, 1 mg
Q4156   Neox 100 or clarix 100, per square centimeter (add-on, list separately in additi...
Q4157   Revitalon, per square centimeter (add-on, list separately in addition to primary...
Q4158   Kerecis omega3, per square centimeter (add-on, list separately in addition to pr...
Q4159   Affinity, per square centimeter (add-on, list separately in addition to primary ...
Q4160   Nushield, per square centimeter (add-on, list separately in addition to primary ...
Q4161   Bio-connekt wound matrix, per square centimeter (add-on, list separately in addi...
Q4162‑Q4163   Woundex
Q4164   Helicoll, per square centimeter (add-on, list separately in addition to primary ...
Q4165   Keramatrix or kerasorb, per square centimeter (add-on, list separately in additi...
Q4166   Cytal, per square centimeter (add-on, list separately in addition to primary pro...
Q4167   Truskin, per square centimeter (add-on, list separately in addition to primary p...
Q4168   Amnioband, 1 mg
Q4169‑Q4339   Artacent
Q4170‑Q4413   Cygnus
Q4171   Interfyl, 1 mg
Q4173‑Q4354   Palingen
Q4175   Miroderm, per square centimeter (add-on, list separately in addition to primary ...
Q4176   Neopatch or therion, per square centimeter (add-on, list separately in addition ...
Q4177   Floweramnioflo, 0.1 cc
Q4178   Floweramniopatch, per square centimeter (add-on, list separately in addition to ...
Q4179   Flowerderm, per square centimeter (add-on, list separately in addition to primar...
Q4180   Revita, per square centimeter (add-on, list separately in addition to primary pr...
Q4181‑Q4295   Amnio, per square centimeter
Q4182   Transcyte, per square centimeter (add-on, list separately in addition to primary...
Q4183   Surgigraft, per square centimeter (add-on, list separately in addition to primar...
Q4184‑Q4214   Cellesta
Q4186   Epifix, per square centimeter (add-on, list separately in addition to primary pr...
Q4187   Epicord, per square centimeter (add-on, list separately in addition to primary p...
Q4188   Amnioarmor, per square centimeter (add-on, list separately in addition to primar...
Q4191‑Q4192   Restorigin
Q4193   Coll-e-derm, per square centimeter (add-on, list separately in addition to prima...
Q4194   Novachor, per square centimeter (add-on, list separately in addition to primary ...
Q4195‑Q4197   Puraply
Q4198   Genesis amniotic membrane, per square centimeter (add-on, list separately in add...
Q4200   Skin te, per square centimeter (add-on, list separately in addition to primary p...
Q4201   Matrion, per square centimeter (add-on, list separately in addition to primary p...
Q4202   Keroxx (2.5g/cc), 1cc
Q4203   Derma-gide, per square centimeter (add-on, list separately in addition to primar...
Q4204‑Q4408   Xwrap
Q4205   Membrane graft or membrane wrap, per square centimeter (add-on, list separately ...
Q4206   Fluid flow or fluid gf, 1 cc
Q4208   Novafix, per square cenitmeter (add-on, list separately in addition to primary p...
Q4209‑Q4394   Surgraft
Q4211   Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in ...
Q4212   Allogen, per cc
Q4213   Ascent, 0.5 mg
Q4215‑Q4384   Axolotl
Q4217   Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xpl...
Q4218   Surgicord, per square centimeter (add-on, list separately in addition to primary...
Q4219   Surgigraft-dual, per square centimeter (add-on, list separately in addition to p...
Q4220   Bellacell hd or surederm, per square centimeter (add-on, list separately in addi...
Q4221   Amniowrap2, per square centimeter (add-on, list separately in addition to primar...
Q4222   Progenamatrix, per square centimeter (add-on, list separately in addition to pri...
Q4224   Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, ...
Q4225   Amniobind or dermabind tl, per square centimeter (add-on, list separately in add...
Q4226   Myown skin, includes harvesting and preparation procedures, per square centimeter
Q4227‑Q4367   Amniocore
Q4229‑Q4230   Cogenex
Q4232   Corplex, per square centimeter (add-on, list separately in addition to primary p...
Q4233   Surfactor or nudyn, per 0.5 cc
Q4234   Xcellerate, per square centimeter (add-on, list separately in addition to primar...
Q4235   Amniorepair or altiply, per square centimeter (add-on, list separately in additi...
Q4236   Carepatch, per square centimeter (add-on, list separately in addition to primary...
Q4237   Cryo-cord, per square centimeter (add-on, list separately in addition to primary...
Q4238   Derm-maxx, per square centimeter (add-on, list separately in addition to primary...
Q4239   Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in...
Q4240   Corecyte, for topical use only, per 0.5 cc
Q4241   Polycyte, for topical use only, per 0.5 cc
Q4242   Amniocyte plus, per 0.5 cc
Q4245   Amniotext, per cc
Q4246   Coretext or protext, per cc
Q4247   Amniotext patch, per square centimeter (add-on, list separately in addition to p...
Q4248‑Q4343   Dermacyte
Q4249   Amniply, for topical use only, per square centimeter (add-on, list separately in...
Q4250   Amnioamp-mp, per square centimeter (add-on, list separately in addition to prima...
Q4251   Vim, per square centimeter (add-on, list separately in addition to primary procedure)
Q4252   Vendaje, per square centimeter (add-on, list separately in addition to primary p...
Q4253   Zenith amniotic membrane, per square centimeter (add-on, list separately in addi...
Q4254   Novafix dl, per square centimeter (add-on, list separately in addition to primar...
Q4255   Reguard, for topical use only, per square centimeter (add-on, list separately in...
Q4256   Mlg-complete, per square centimeter (add-on, list separately in addition to prim...
Q4257   Relese, per square centimeter (add-on, list separately in addition to primary pr...
Q4258   Enverse, per square centimeter (add-on, list separately in addition to primary p...
Q4259   Celera dual layer or celera dual membrane, per square centimeter (add-on, list s...
Q4260   Signature apatch, per square centimeter (add-on, list separately in addition to ...
Q4261   Tag, per square centimeter (add-on, list separately in addition to primary procedure)
Q4262   Dual layer impax membrane, per square centimeter (add-on, list separately in add...
Q4264   Cocoon membrane, per square centimeter (add-on, list separately in addition to p...
Q4265‑Q4267   Neostim
Q4270‑Q4271   Complete
Q4272‑Q4275   Esano
Q4276   Orion, per square centimeter (add-on, list separately in addition to primary pro...
Q4278   Epieffect, per square centimeter (add-on, list separately in addition to primary...
Q4279   Vendaje ac, per square centimeter (add-on, list separately in addition to primar...
Q4280   Xcell amnio matrix, per square centimeter (add-on, list separately in addition t...
Q4281   Barrera sl or barrera dl, per square centimeter (add-on, list separately in addi...
Q4284‑Q4313   Dermabind
Q4285‑Q4286   Nudyn
Q4289   Revoshield + amniotic barrier, per square centimeter (add-on, list separately in...
Q4290   Membrane wrap-hydro, per square centimeter (add-on, list separately in addition ...
Q4291‑Q4292   Lamellas
Q4293‑Q4386   Acesso
Q4296   Rebound matrix, per square centimeter (add-on, list separately in addition to pr...
Q4297   Emerge matrix, per square centimeter (add-on, list separately in addition to pri...
Q4301   Activate matrix, per square centimeter (add-on, list separately in addition to p...
Q4302‑Q4303   Complete
Q4305‑Q4307   American amnion
Q4308   Sanopellis, per square centimeter (add-on, list separately in addition to primar...
Q4309   Via matrix, per square centimeter (add-on, list separately in addition to primar...
Q4310   Procenta, per 100 mg
Q4314   Reeva ft, per square cenitmeter (add-on, list separately in addition to primary ...
Q4315   Regenelink amniotic membrane allograft, per square centimeter (add-on, list sepa...
Q4316   Amchoplast, per square centimeter (add-on, list separately in addition to primar...
Q4317   Vitograft, per square centimeter (add-on, list separately in addition to primary...
Q4318   E-graft, per square centimeter (add-on, list separately in addition to primary p...
Q4319   Sanograft, per square centimeter (add-on, list separately in addition to primary...
Q4320   Pellograft, per square centimeter (add-on, list separately in addition to primar...
Q4321   Renograft, per square centimeter (add-on, list separately in addition to primary...
Q4322   Caregraft, per square centimeter (add-on, list separately in addition to primary...
Q4323   Alloply, per square centimeter (add-on, list separately in addition to primary p...
Q4324   Amniotx, per square centimeter (add-on, list separately in addition to primary p...
Q4325   Acapatch, per square centimeter (add-on, list separately in addition to primary ...
Q4326   Woundplus, per square centimeter (add-on, list separately in addition to primary...
Q4327   Duoamnion, per square centimeter (add-on, list separately in addition to primary...
Q4328   Most, per square centimeter (add-on, list separately in addition to primary proc...
Q4329   Singlay, per square centimeter (add-on, list separately in addition to primary p...
Q4330   Total, per square centimeter (add-on, list separately in addition to primary pro...
Q4333   Ardeograft, per square centimeter (add-on, list separately in addition to primar...
Q4334‑Q4391    Amnioplast
Q4340   Simpligraft, per square centimeter (add-on, list separately in addition to prima...
Q4341   Simplimax, per square centimeter (add-on, list separately in addition to primary...
Q4342   Theramend, per square centimeter (add-on, list separately in addition to primary...
Q4344   Tri-membrane wrap, per square centimeter (add-on, list separately in addition to...
Q4345   Matrix hd allograft dermis, per square centimeter (add-on, list separately in ad...
Q4346   Shelter dm matrix, per square centimeter (add-on, list separately in addition to...
Q4347   Rampart dl matrix, per square centimeter (add-on, list separately in addition to...
Q4348   Sentry sl matrix, per square centimeter (add-on, list separately in addition to ...
Q4349   Mantle dl matrix, per square centimeter (add-on, list separately in addition to ...
Q4350   Palisade dm matrix, per square centimeter (add-on, list separately in addition t...
Q4351   Enclose tl matrix, per square centimeter (add-on, list separately in addition to...
Q4352   Overlay sl matrix, per square centimeter (add-on, list separately in addition to...
Q4353   Xceed tl matrix, per square centimeter (add-on, list separately in addition to p...
Q4355   Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter ...
Q4356   Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, lis...
Q4359   Choriply, per square centimeter (add-on, list separately in addition to primary ...
Q4360   Amchoplast fd, per square centimeter (add-on, list separately in addition to pri...
Q4361   Epixpress, per square centimeter (add-on, list separately in addition to primary...
Q4363‑Q4366   Amnio burgeon
Q4368   Amchothick, per square centimeter (add-on, list separately in addition to primar...
Q4370   Aeroguard, per square centimeter (add-on, list separately in addition to primary...
Q4371   Neoguard, per square centimeter (add-on, list separately in addition to primary ...
Q4372   Amchoplast excel, per square centimeter (add-on, list separately in addition to ...
Q4373   Membrane wrap lite, per square centimeter (add-on, list separately in addition t...
Q4375‑Q4376   Duograft
Q4377   Trigraft ft, per square centimeter (add-on, list separately in addition to prima...
Q4378   Renew ft matrix, per square centimeter (add-on, list separately in addition to p...
Q4379   Amniodefend ft matrix, per square centimeter (add-on, list separately in additio...
Q4380   Advograft one, per square centimeter (add-on, list separately in addition to pri...
Q4382   Advograft dual, per square centimeter (add-on, list separately in addition to pr...
Q4385   Apollo ft, per square centimeter (add-on, list separately in addition to primary...
Q4387‑Q4389   Neothelium, per square centimeter
Q4390   Ascendion, per square centimeter (add-on, list separately in addition to primary...
Q4395   Acelagraft, per square centimeter (add-on, list separately in addition to primar...
Q4396   Natalin, per square centimeter (add-on, list separately in addition to primary p...
Q4397‑Q4399   Summit
Q4400   Polygon3 membrane, per square centimeter (add-on, list separately in addition to...
Q4401   Absolv3 membrane, per square centimeter (add-on, list separately in addition to ...
Q4412   Choriofix, per square centimeter (add-on, list separately in addition to primary...
Q4414   Simplichor, per square centimeter (add-on, list separately in addition to primar...
Q4415‑Q4417   Alexiguard
Q4420   Nuform, per square centimeter (add-on, list separately in addition to primary pr...
Q4431   Pma skin substitute product, not otherwise specified (list in addition to primar...
Q4432   510(k) skin substitute product, not otherwise specified (list in addition to pri...
Q4433   361 hct/p skin substitute product, not otherwise specified (list in addition to ...
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